MEDICARE: TUDOR CITY DENTAL, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)
2	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1346195526
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TUDOR CITY DENTAL, P.C.

Provider Business Mailing Address
First Line	:	304 E 41ST ST APT 101A
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10017-5977
Country	:	US
Telephone Number	:	212-697-4690
Fax Number	:

Provider Business Practice Location Address
First Line	:	304 E 41ST ST APT 101A
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10017-5977
Country	:	US
Telephone Number	:	212-697-4690
Fax Number	:

Authorized Official
Title or Position	:	DENTIST/OWNER
Name	:	MARC WILK
Credential	:	DDS
Telephone Number	:	212-697-4690

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

Similar Medicare Providers

1881833481 — ALAN J. BROWN M.D.
Practice Location Address:

1965 BROADWAY , 18D
NEW YORK CITY, NY
10023-5977

Practice Phone: 212-579-7149
Practice Fax:

1174675813 — KIMBERLY LAVOIE M.S. CCC-SLP
Practice Location Address:

166 WILDER LN
NEW LONDON, NH
03257-5977

Practice Phone: 857-234-4066
Practice Fax:

1750250767 — GABRIELLE CHANTELLE JENKINS CPT
Practice Location Address:

5555 NEW TERRITORY BLVD APT 4202
SUGAR LAND, TX
77479-5977

Practice Phone: 281-965-5559
Practice Fax:

1821728932 — HEAJUNG KIM FNP
Practice Location Address:

501 5TH AVE STE 1607
NEW YORK, NY
10017-6107

Practice Phone: 212-481-1118
Practice Fax: 212-448-1049

1609676436 — CATALYST COUNSELING PSYCHOLOGY PLLC
Practice Location Address:

100 PARK AVENUE
NEW YORK, NY
10017

Practice Phone: 646-481-0914
Practice Fax: 646-481-0902

1356904726 — DR. NICHOLAS HARRIS MD
Practice Location Address:

633 3RD AVE , MSCKCC-PBD/4TH FLOOR
NEW YORK, NY
10017-6706

Practice Phone: 646-227-3764
Practice Fax:

Directions to “TUDOR CITY DENTAL, P.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.